Job Summary
The Contract Specialist II plays a crucial role in overseeing the provider contracting process. This includes the management of provider demographic data and ensuring that all contracts are executed in full. The specialist also evaluates changes in provider status, maintains organized contract records, and addresses inquiries from both internal and external parties.
Responsibilities
- Facilitate the provider contracting process.
- Administer provider demographic information.
- Ensure complete execution of contracts.
- Review and assess provider status changes.
- Maintain comprehensive contract files.
- Respond to inquiries from stakeholders within and outside the organization.
Qualifications
- Bachelor’s degree accompanied by three years of relevant professional experience, or seven years of equivalent work experience.
- Prior experience in health insurance, provider relations, or contracting is highly preferred.
- Familiarity with NCQA and state or federal regulatory standards is advantageous.
